Dillon Companies LLC
Organization Active NPI Community/Retail Pharmacy · Frederick, CO
NPI 1386449577 · NPPES record last updated Feb 13, 2025
Key facts
- NPI
- 1386449577
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- DILLON COMPANIES LLC
- Practice address
- 5801 Silverstone Dr
Frederick, CO 80504-6066 - Phone
- (513) 762-1090
- NPI assigned
- Feb 13, 2025
- Organization subpart
- No
Authorized official
- Name
- Amber Nicole Williams
- Title
- Licensing Manager
- Phone
- (513) 762-1090
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 24
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| King Soopers Pharmacy #154 |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment a… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150206000396 | CO | Part B Supplier - Mass Immunization (Roster Biller Only) | 5890690135 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Longmont, CO; Aurora, CO; Frederick, CO |
| O20250731001825 | CO | DME Supplier - Pharmacy | 5890690135 | Practice locations: Frederick, CO |
National Provider Directory
- Tax ID family
- Dillon Companies LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
5801 Silverstone Dr
Frederick, CO 80504-6066
Mailing address
PO Box 830242
Philadelphia, PA 19182-0352
Phone (513) 762-1019
Other names
- King Soopers Pharmacy #154
NPI Registry JSON
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1386449577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 830242",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820352",
"telephone_number": "513-762-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 SILVERSTONE DR",
"city": "FREDERICK",
"state": "CO",
"postal_code": "805046066",
"telephone_number": "513-762-1090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DILLON COMPANIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "LICENSING MANAGER",
"authorized_official_telephone_number": "513-762-1090"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "King Soopers Pharmacy #154",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frederick, CO
- Michael Joseph Daly
- Erin Daugherty
- Bryan Decker
- Dentists of Frederick, LLP
- Luis Felipe Diaz
- Stephanie Donnelly
- Nathan Dutcher
- Gina Marie Edwards
- Catherine Jill Eich
- Rebecca Jean Elliott
All providers in Frederick, CO · Community/Retail Pharmacy in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.